Individual provider Active NPI

Tina Cheung, O.D.

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1306213160
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15419 Issued in CA
Practice address
929 Clay St Ste 405
San Francisco, CA 94108-1556
Phone
(415) 986-3239
NPI assigned
Aug 27, 2015
Last updated
Sep 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15419 CA Primary

Addresses

Primary practice location

929 Clay St Ste 405
San Francisco, CA 94108-1556

Mailing address

1766 N Milpitas Blvd
Milpitas, CA 95035-2713

Other practice location 1

1001 Grand Ave
San Rafael, CA 94901-3416
Phone (415) 453-3812

Other practice location 2

1766 N Milpitas Blvd
Milpitas, CA 95035-2713
Phone (408) 263-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151021002558 CA Practitioner - Optometry 2860701430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marin Optometric Group IncGroup PAC ID 1850644733, 2 clinicians

Practice addresses (Care Compare)

1001 Grand Ave
San Rafael, CA 94901-3416
Phone (415) 453-3812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marin Optometric Group, Inc Optometrist CurrentSince Oct 1, 2018 Accepting new patients
Robert B Levine OD a Professional Optometric Corporation Optometrist CurrentSince Oct 1, 2018 Accepting new patients
Petaluma Eye Care Optometric Associates, Inc. Optometrist CurrentSince Jul 11, 2016 Accepting new patients
Cityview Eye Center, a Medical Corporation PastSince May 9, 2015 Accepting new patients
Focus Optometry of Milpitas Optometrist PastSince Aug 26, 2015 Accepting new patients

Locations

1225 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 763-2020

1001 Grand Ave
San Rafael, CA 94901
Phone (415) 453-3812

Interoperability endpoints

  • Direct secure messaging: tina.cheung@11050409918468.direct.elationemr.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1306213160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 N MILPITAS BLVD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950352713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 CLAY ST STE 405",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081556",
            "telephone_number": "415-986-3239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949013416",
            "country_code": "US",
            "telephone_number": "415-453-3812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1766 N Milpitas Blvd",
            "address_purpose": "LOCATION",
            "city": "Milpitas",
            "state": "CA",
            "postal_code": "950352713",
            "country_code": "US",
            "telephone_number": "408-263-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "TINA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.